Healthcare Provider Details
I. General information
NPI: 1578047791
Provider Name (Legal Business Name): ANNA GULINSKI MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/24/2018
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1849 GREEN BAY RD STE 171
HIGHLAND PARK IL
60035-3152
US
IV. Provider business mailing address
1849 GREEN BAY RD STE 171
HIGHLAND PARK IL
60035-3152
US
V. Phone/Fax
- Phone: 224-243-7600
- Fax:
- Phone: 224-243-7600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 209.029767 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 4704270051 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: